| NPI | 1578032736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 7358) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 10917) |
| Enumeration Date | 2018-11-17 |
| Last Update Date | 2020-11-10 |